Thebemed Medical Aid Scheme
Overall, Thebemed Medical Aid is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and Chronic Illness Benefits to up to 3 Family Members. The Thebemed Medical Aid starts from R574 ZAR.
Thebemed Medical Aid offers the following plans:
| 🟥 The average number of members | 1,000+ |
| 🟧 Number of Markets | 1 |
| 🟨 Number of Employees | 150+ |
| 🟩 Average Customer Rating | 2.1 |
| 🟦 Average Number of Reviews | <10 |
| 🟪 Market Share | <1% |
| 🟥 The number of plans offered | 4 |
| 🟧 Number of Hospitals in Network | 150+ |
| 🟨 Home care provided | ✅ Yes |
| 🟩 Medical Claims Portal | ✅ Yes |
| 🟦 Information Hub for COVID-19 | ✅ Yes |
| 🟪 Chronic Illness Benefits | ✅ Yes |
| 🟥 Number of PMB Diagnoses | 271 |
| 🟧 Number of PMB Chronic Conditions | 36 |
| 🟨 Screening and Prevention offered | ✅ Yes |
| 🟩 Maternity Benefit | ✅ Yes |
| 🟦 Medical Aid Contribution Range (ZAR) | 574 – 2,943 ZAR |
| 🟪 Average Waiting Period | 12 months |
| 🟥 Late-joiner penalties charged | ✅ Yes |
Thebemed Medical Aid – Analysis of Medical Aids’ Main Features
- ✅ Thebemed Medical Aid Overview
- ✅ Thebemed – Advantages Over Competitors
- ✅ How to apply for Medical Aid with Thebemed
- ✅ How to Submit a Claim with Thebemed
- ✅ Thebemed Medical Savings Account
- ✅ How to Submit a Compliment or Complaint with Thebemed
- ✅ How to Switch My Medical Aid to Thebemed
- ✅ Thebemed Customer Support
- ✅ Thebemed Pros and Cons
- ✅ Thebemed vs Notable Competitors – A Comparison
- ✅ Thebemed Customer Reviews
- ✅ Our Verdict on Thebemed
- ✅ Thebemed Frequently Asked Questions
Thebemed Medical Aid Overview
| 🔎 Plan | 💴 Contributions (Main) | 💵 Contributions (+ Adult) | 💶 Contributions (+ Child) |
| 🟥 Universal EDO | R574 – R1,808 | R574 – R1,553 | R574 – R848 |
| 🟧 Universal | R692 – R2,661 | R692 – R2,509 | R692 – R1,032 |
| 🟨 Energy | R2,943 | R2,787 | R491 |
| 🟩 Fantasy | R2,147 | R1,757 | R884 |
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Medical Aid Thebemed – Advantages Over Competitors
- ✅ Comprehensive Benefits: Thebemed provides a wide range of benefits, including hospital cover, chronic medication, and specialist consultations, among others. This comprehensive offering provides members with greater access to medical care and supports them in managing their health.
- ✅ Competitive Pricing: Thebemed offers competitive pricing compared to other medical aid schemes in South Africa. This affordability allows members to access quality medical care without overburdening them financially.
- ✅ No Co-payments on Hospitalisation: Thebemed offers a benefit that covers all hospitalization costs without co-payments. This is a valuable benefit as it relieves members of additional financial burdens during illness or injury.
- ✅ Telemedicine and Wellness Programs: Thebemed offers a telemedicine service that enables members to consult with healthcare professionals remotely. Additionally, they offer wellness programs that give members access to support and resources for managing their health.
Thebemed has a dedicated member services team that assists members with all their queries and concerns. This personalized service ensures that members receive prompt and efficient support whenever needed.
How to apply for Medical Aid with Thebemed
Medical Aid Quote Thebemed Medical Scheme process explained
To apply for Medical Aid through Thebemed, you must:
- ✅ Visit Thebemed website at www.thebemed.co.za.
- ✅ On the website, click on the “Join Thebemed” button, which is located at the top of the page.
- ✅ You will be directed to a page where you can select the type of membership that best suits your needs. Thebemed offers various membership options, including individual, family, and corporate membership.
- ✅ Once you have selected your membership type, you will be asked to provide your details, including your name, contact information, and ID number.
- ✅ You will also be required to provide information about your health status, including any pre-existing medical conditions you may have.
- ✅ After submitting your application, a Thebemed representative will contact you to confirm your application and provide you with the necessary information about your membership.
Alternatively, you can contact Thebemed directly through their customer service hotline or email [email protected] to request an application form or for assistance with your application. Once your application has been approved, you will be provided with your membership card, and you can begin to access the various benefits and services that Thebemed offers.
New Members 35 years or older may be subject to late-joiner penalties on Thebemed Medical Aid Plans.
Get a Thebemed Medical Aid quote from our Dedicated Medical Aid Specialists Broker
How to Submit a Claim with Thebemed
To submit a claim with Thebemed, you can follow these simple steps:
- ✅ Before submitting a claim, ensure that you have all the necessary information required for the claim, including the service provider’s details, date of service, and the amount charged.
- ✅ Download and complete the relevant claim form from Thebemed’s website or request a form from their customer service team.
- ✅ Attach any relevant supporting documents, such as invoices or medical certificates, to the claim form.
- ✅ Submit the claim form and supporting documents to Thebemed via email, fax, or post. Ensure you have included all the required information and that your claim form is signed.
- ✅ Thebemed will process your claim within the specified timeframes, and you will receive notification of the outcome via email or post.
- ✅ If your claim is approved, Thebemed will pay the relevant amount into your bank account or directly to the service provider.
It is essential to ensure that you submit your claims promptly to avoid any delays in processing. Additionally, it is important to keep accurate records of your medical expenses and claims to help you track your benefits and ensure that you receive the appropriate reimbursements from Thebemed.
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Thebemed Medical Savings Account
Thebemed offers one plan with a Medical Savings Account, namely the Fantasy plan. The Medical Savings Account (MSA) offers supplementary funds to supplement certain scheme benefits and cover additional medical expenses not covered by risk.
Thebemed Medical Savings Account Structure
| 🔎 Membership Level | 📈 Risk | 💴 Savings contributed per month | 💵 Total Monthly Contribution | 💶 Total Annual MSA |
| 👤 Main Member | R1,932 | R215 | R2.147 | R2,580 |
| 👥 Adult Dependent | R1,581 | R176 | R1,757 | R2,2112 |
| 🍼 Child Dependent | R884 | R88 | R884 | R1,056 |
Thebemed Benefits that are paid from the MSA
The following benefits are subject to the MSA:
- ✅ GP Consultations
- ✅ Emergency Visits
- ✅ Pharmacy Advised Therapy (PAT)
- ✅ Specialized Dentistry
and more. A Full list will be made available upon request.
How to Submit a Compliment or Complaint with Thebemed
To submit a compliment or complaint with Thebemed, you can follow these simple steps:
- ✅ Contact Thebemed: Contact Thebemed’s customer service team via email, phone, or post to lodge your compliment or complaint. Provide your contact information and any relevant details, such as your membership number, the name of the staff member involved, and the details of the incident or issue.
- ✅ Provide Details: Provide as much detail as possible about your compliment or complaint, including the nature of the issue, when it occurred, and any relevant parties involved.
- ✅ Wait for Acknowledgment: Thebemed will acknowledge receipt of your compliment or complaint within the specified timeframes and provide you with a reference number for future correspondence.
- ✅ Investigation: Thebemed will investigate your compliment or complaint and inform you of progress.
- ✅ Resolution: Once the investigation is complete, Thebemed will provide you with a response and any remedial action taken. If your compliment or complaint is upheld, Thebemed will take the necessary steps to rectify the situation and ensure that it does not occur again.
If you are unsatisfied with the outcome of your compliment or complaint, you can appeal the decision by following Thebemed’s appeals process.
How to Switch My Medical Aid to Thebemed
To switch your Medical Aid to Thebemed, you can follow these simple steps:
- ✅ Review your current medical aid plan to determine the level of coverage you currently have and the benefits you receive.
- ✅ Consider your health needs and financial situation to determine whether switching to Thebemed is the right option. In addition, you must ensure that the level of coverage you choose is still adequate for your health needs.
- ✅ Contact Thebemed’s customer service team to discuss your options for switching your medical aid to Thebemed. The customer service team will guide you and provide the necessary information.
- ✅ Complete the application form, which can be obtained from Thebemed’s website or the customer service team. The form will require you to provide details about your current medical aid plan, including the name of your current medical aid scheme, your plan type, and your membership number.
- ✅ Submit the completed application form to Thebemed via email, fax, or post. Ensure you have included all the required information and that the form is signed.
Thebemed will process your application within the specified timeframes and notify you of the outcome via email or post. If your application is approved, you will be provided with your membership card, and you can begin to access the various benefits and services that Thebemed offers.
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Thebemed Customer Support
To contact Thebemed Customer Support, you can use the following channels:
- ✅ Contact Thebemed Customer Support at 0861 84 32 36 or 011 544 8000. The customer support team can take your calls from Monday to Friday between 8 am and 5 pm and Saturdays from 8h30 am to 1h30 pm.
- ✅ You can email Thebemed Customer Support at [email protected]. The customer support team will respond to your email as soon as possible.
- ✅ You can complete the online contact form on Thebemed’s website at https://www.thebemed.co.za/contact-us/. The form requires you to provide your name, contact details, and a brief message about your inquiry or concern.
Additionally, you can add Thebemed on WhatsApp at 0861 84 32 36 and simply say “Hi” to the Thebemed contact in the app to receive customer support options.
Thebemed Pros and Cons
| ✅ Pros | ❎ Cons |
| Offers a range of healthcare plans that are designed to meet the needs of different individuals and families | A limited network of healthcare providers may impact the ability to access certain healthcare services or specialists |
| Focuses on providing affordable healthcare solutions to its members | Some members may find that the plans do not offer the level of coverage they require for certain healthcare needs, resulting in additional out-of-pocket expenses |
POLL: The 5 Best Medical Aids with Value for Money
Thebemed vs Notable Competitors – A Comparison
| 🔎 Medical Aid Plan | 🥇 Thebemed | 🥈 SAMWUMed | 🥉 POLMED |
| 📉 Years in Operation | 11 years | 71 Years | 42 Years |
| 📈 Average # Members | 1,000+ | 35,000+ | 200,000+ |
| 📊 Number of Employees | 150+ | 100+ | 100+ |
| ➡️ Market Share | <1% | <1% | <10% |
| ↪️ Market Cover | South Africa | South Africa | South Africa |
| 🅰️ Customer Rating | 2.1 | 3/5 | 3 |
| 🅱️ Number of reviews | <10 | 20+ | 200+ |
| ☑️ Mobile App | No | Yes | Yes |
| 💴 Contribution Range (ZAR) | 574 – 2,943 ZAR | ZAR | ZAR |
Something to consider if you are below the age of 30 years:
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Thebemed Customer Reviews
Prompt and Efficient.
Earlier today, I called to obtain authorization for a doctor’s visit. An agent promptly assisted me and efficiently resolved the matter. – Clive Mtsweni
Excellent Service.
Since becoming a member of Thebemed, I have received excellent service. The staff has consistently demonstrated promptness, politeness, and helpfulness, and using WhatsApp has been a particularly useful feature. Thank you for your continued assistance. – Ronald le Roux
Great Assist.
Following my submission of a complaint on the website regarding my unsuccessful attempts to remove the waiting period for my newly added daughter on the medical aid, Thebemed promptly responded with a call on the same day. The agent assured me that my case would be attended to and that she would review all previous telephone conversations with the client services team at the medical aid. As promised, the agent called two days later to inform me that the waiting period had been removed. – Albert Street
Our Verdict on Thebemed
Thebemed is a South African medical aid provider that offers a variety of healthcare plans to meet the needs of individuals and families. The plans offer a range of benefits and services, including hospital cover, chronic medication benefits, and wellness programs. One of the key advantages of Thebemed is its focus on providing affordable healthcare solutions to its members. The plans are designed to be accessible to many individuals with varying healthcare needs and financial situations. The plans offer a range of benefits tailored to different members’ needs, including comprehensive hospital cover, chronic medication benefits, and wellness programs.
Another advantage of Thebemed is its commitment to innovation and customer service. The scheme regularly updates its plans to meet the changing needs of its members and uses advanced technology to enhance the customer experience. Members can access their benefits and claims information online. In addition, the scheme offers a range of digital tools to help members manage their healthcare needs. One potential drawback of Thebemed is its limited network of healthcare providers. As a result, members may be limited in their choice of healthcare providers, impacting their ability to access certain healthcare services or specialists. Additionally, some members may find that the plans do not offer the level of coverage required for certain healthcare needs, which could result in additional out-of-pocket expenses.
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Thebemed Frequently Asked Questions
What is Thebemed Medical Aid, and what benefits does it offer?
Thebemed Medical Aid is a healthcare provider in South Africa that offers a range of medical aid plans to meet the needs of different individuals and families. The plans offer comprehensive hospital cover, chronic medication benefits, and wellness programs.
What is Thebemed’s WhatsApp number, and how can I use it to contact the scheme?
Thebemed’s WhatsApp number is +27 86 184 32 36. You can use this number to contact the scheme’s customer support team and inquire about your membership status, claims, and benefits. The WhatsApp service is available from Monday to Friday between 8 am and 5 pm.
Where can I obtain Thebemed’s application form, and what information do I need to provide?
You can obtain Thebemed’s application form from the scheme’s website or by contacting their customer support team. The application form will require you to provide personal details such as your name, date of birth, contact information, and details about your current medical aid plan.
What chronic medication benefits does Thebemed offer, and how do they work?
Thebemed offers a range of chronic medication benefits to help members manage their ongoing healthcare needs. The benefits may include coverage for chronic medication, access to specialist doctors, and other services designed to help members manage their chronic conditions.
What are Thebemed’s contact details, and how can I contact the scheme?
You can contact Thebemed’s customer support team at +27 11 544 8000 or [email protected]. You can also complete the online contact form on Thebemed’s website or contact the scheme via their social media pages.
How do I submit a claim with Thebemed, and what information do I need to provide?
To submit a claim with Thebemed, you can do so via their website, mobile app, or by contacting their customer support team. You must provide details about the healthcare services you received, the healthcare provider who rendered the services, and any relevant receipts or documentation. The scheme will process your claim and provide you with a reimbursement for any covered expenses.
How can I find a list of Thebemed network doctors, and what benefits do they offer?
You can find a list of Thebemed network doctors by contacting the scheme’s customer support team or checking their website. Furthermore, the network doctors offer benefits such as lower co-payments, guaranteed payment for services rendered, and access to a wide range of healthcare services.
What is the Thebemed Universal Plan, and how does it differ from other plans?
Thebemed Universal Plan is a comprehensive medical aid plan that offers a range of benefits and services, including hospital cover, chronic medication benefits, and wellness programs. It differs from other plans in providing more extensive coverage for wider healthcare needs.
Does Thebemed have a branch in Rustenburg?
No, Thebemed does not have a branch in Rustenburg. Thebemed is based in Sandton, Johannesburg.
What is a medical certificate, and how can I obtain one from Thebemed?
A medical certificate is a document that provides proof of illness or injury and is typically required by employers or insurance companies. Furthermore, you can obtain a medical certificate from Thebemed by contacting their customer support team and requesting one.
What is Thebemed Fantasy Option, and how does it work?
Thebemed Fantasy Option is a feature that allows members to customize their medical aid plan by selecting the benefits that are most important to them. Members can choose from various benefits, such as hospital coverage, chronic medication benefits, and wellness programs. In addition, they can adjust their plan as their needs change.
How to Downgrade My Plan with Thebemed
To downgrade your plan with Thebemed, contact Thebemed’s customer service team to discuss your options for downgrading your plan. The customer service team will guide you and provide the necessary information.
How do I add a Beneficiary to Thebemed?
If you want to add a child or adult dependent, you can Contact Thebemed’s customer service team to request an application form or for assistance with adding a beneficiary to your plan. Complete the application form with the beneficiary’s details, including their name, date of birth, and ID number. You will also be required to provide information about the beneficiary’s relationship to you, such as whether they are a spouse, child, or dependent.
